UPMC Northwest
100 Fairfield Drive, Seneca, PA · UPMC · · NPI 1619069440
Published prices by procedure
Cash price is what you pay without insurance. The negotiated range spans the lowest to highest rate this hospital agreed with insurers.
| Procedure | Cash price | Gross charge | Negotiated range | Payers |
|---|---|---|---|---|
| Mayo estriol CPT 82677 | $125.40 | $209.00 | $19.25 – $26.11 | 11 |
| Mayo estrone CPT 82679 | $165.00 | $275.00 | $14.30 – $26.20 | 11 |
| Mayo ethosuximide therapeutic drug level CPT 80168 | $80.40 | $134.00 | $14.30 – $17.65 | 11 |
| Mayo everolimus therapeutic drug level CPT 80169 | $141.60 | $236.00 | $12.45 – $17.23 | 11 |
| Mayo factor ii CPT 85210 | $49.80 | $83.00 | $4.40 – $13.63 | 11 |
| Mayo factor vii CPT 85230 | $131.40 | $219.00 | $5.50 – $18.80 | 11 |
| Mayo factor viii vw factor antigen CPT 85246 | $114.60 | $191.00 | $20.80 – $36.47 | 11 |
| Mayo factor viii vw factor multimetric analysis CPT 85247 | $212.40 | $354.00 | $20.80 – $36.47 | 11 |
| Mayo factor viii vw factor ristocetin cofactor CPT 85245 | $212.40 | $354.00 | $20.80 – $36.47 | 11 |
| Mayo factor x CPT 85260 | $131.40 | $219.00 | $13.20 – $19.33 | 11 |
| Mayo factor xi CPT 85270 | $131.40 | $219.00 | $13.20 – $19.33 | 11 |
| Mayo fat/lipids feces quantitative CPT 82710 | $110.40 | $184.00 | $4.42 – $17.64 | 11 |
| Mayo fbl culture fungi blood CPT 87103 | $80.40 | $134.00 | $13.71 – $21.48 | 11 |
| Mayo ffspg allergen clam igg CPT 86001 | $46.80 | $78.00 | $6.36 – $8.45 | 11 |
| Mayo fibrinogen antigen CPT 85385 | $78.60 | $131.00 | $10.90 – $15.62 | 11 |
| Mayo gabapentin bld/srm/plasma therapeutic drug level CPT 80171 | $141.00 | $235.00 | $15.92 – $23.40 | 11 |
| Mayo gamma-globin full gene sequencing CPT 81479 | $8,992.20 | $14,987.00 | $197.17 – $197.17 | 1 |
| Mayo hip12 infectious agent nucleic acid amplified probe hiv-1 rna qualitative CPT 87535 | $288.60 | $481.00 | $31.82 – $37.90 | 10 |
| Mayo hip12 infectious agent nucleic acid amplified probe hiv-2 CPT 87538 | $559.20 | $932.00 | $31.82 – $37.90 | 10 |
| Mayo hiser histoplasma antibodies immunodiffusion CPT 86698 | $81.00 | $135.00 | $12.51 – $19.87 | 11 |
| Mayo hla typing a/b/c single antigen CPT 86812 | $118.20 | $197.00 | $13.20 – $27.10 | 11 |
| Mayo hvdip HIV 1 antibody CPT 86701 | $88.20 | $147.00 | $8.06 – $13.94 | 11 |
| Mayo hvdip HIV 2 antibody CPT 86702 | $90.60 | $151.00 | $12.26 – $15.90 | 11 |
| Mayo hydroxyprogesterone 17-d CPT 83498 | $108.00 | $180.00 | $22.55 – $29.34 | 11 |
| Mayo immunoassay c1 esterase inhibitor antibody quantitative CPT 83520 | $67.20 | $112.00 | $15.66 – $18.65 | 10 |
| Mayo immunoassay infectious agent antibody quantitative diptheria igg CPT 86317 | $97.20 | $162.00 | $13.59 – $23.56 | 11 |
| Mayo immunoassay tumor antigen quantitative ca 27.29 CPT 86300 | $141.00 | $235.00 | $18.87 – $26.46 | 11 |
| Mayo immunoassay tumor antigen quantitative chromogranin a CPT 86316 | $102.60 | $171.00 | $18.87 – $33.07 | 11 |
| Mayo inf agt nucleic acid amp prb helicobacter pylori clarithromycin resistance CPT 87513 | $987.60 | $1,646.00 | $31.82 – $37.90 | 10 |
| Mayo infectious agent antigen immunoassay direct optical observation cryptococcus CPT 87899 | $191.40 | $319.00 | $14.57 – $17.36 | 10 |
| Mayo infectious agent antigen immunoassay ql/sq multi step aspergillus bal CPT 87305 | $187.20 | $312.00 | $10.86 – $14.16 | 11 |
| Mayo infectious agent nucleic acid amplified probe enterovirus CPT 87498 | $309.60 | $516.00 | $31.82 – $45.11 | 11 |
| Mayo infectious agent nucleic acid amplified probe mycoplasma genitalium urine CPT 87563 | $189.00 | $315.00 | $30.88 – $37.90 | 11 |
| Mayo infectious agent nucleic acid amplified probe mycoplasma pneumoniae CPT 87581 | $306.00 | $510.00 | $31.82 – $37.90 | 10 |
| Mayo infectious agent nucleic acid amplified probe pneumocystis jirovecii CPT 87594 | $189.00 | $315.00 | $31.82 – $37.90 | 10 |
| Mayo infectious agent nucleic acid quantification cytomegalovirus CPT 87497 | $236.40 | $394.00 | $38.85 – $55.82 | 11 |
| Mayo infliximab therapeutic drug level CPT 80230 | $133.20 | $222.00 | $34.98 – $41.66 | 10 |
| Mayo inhab inhibin a CPT 86336 | $861.00 | $1,435.00 | $14.14 – $16.84 | 10 |
| Mayo insft insulin free CPT 83527 | $121.20 | $202.00 | $11.74 – $20.59 | 11 |
| Mayo insulin antibodies CPT 86337 | $85.20 | $142.00 | $12.10 – $22.48 | 11 |
| Mayo iodine CPT 83789 | $163.80 | $273.00 | $21.87 – $26.04 | 10 |
| Mayo itraconazole therapeutic drug level CPT 80189 | $140.40 | $234.00 | $23.86 – $29.28 | 11 |
| Mayo lacosamide therapeutic drug level CPT 80235 | $141.00 | $235.00 | $24.59 – $29.28 | 10 |
| Mayo lamotrigine therapeutic drug level CPT 80175 | $141.00 | $235.00 | $12.02 – $16.64 | 11 |
| Mayo ld_i lactate dehydrogenase isoenzymes CPT 83625 | $70.80 | $118.00 | $11.60 – $13.81 | 11 |
| Mayo legionella antibody CPT 86713 | $181.20 | $302.00 | $13.88 – $23.98 | 11 |
| Mayo lipoprotein electrophoresis CPT 83700 | $99.00 | $165.00 | $10.21 – $14.47 | 11 |
| Mayo lywb borrelia burgdorferi (lyme disease) antibody igg confirmatory CPT 86617 | $99.00 | $165.00 | $14.05 – $24.61 | 11 |
| Mayo manganese CPT 83785 | $57.00 | $95.00 | $15.86 – $28.78 | 10 |
| Mayo metanephrines plasma CPT 83835 | $80.40 | $134.00 | $14.30 – $18.30 | 11 |
| Mayo mgle voltage-gated calcium channel antibody each CPT 86596 | $108.00 | $180.00 | $10.93 – $16.93 | 11 |
| Mayo mgrm acetylcholine receptor binding antibody CPT 86041 | $240.00 | $400.00 | $16.19 – $19.87 | 11 |
| Mayo microsomal antibody liver-kidney CPT 86376 | $78.60 | $131.00 | $8.70 – $15.28 | 11 |
| Mayo mitotane (lysodren) therapeutic drug level CPT 80299 | $141.00 | $235.00 | $16.83 – $20.13 | 11 |
| Mayo molecular pathology procedure level 2 apoe genotype CPT 81401 | $4,014.60 | $6,691.00 | $104.75 – $147.96 | 10 |
| Mayo mpl sequence analysis exon 10 CPT 81339 | $752.40 | $1,254.00 | $167.96 – $200.02 | 10 |
| Mayo muramidase CPT 85549 | $96.00 | $160.00 | $17.00 – $20.25 | 11 |
| Mayo muscle-specific kinase (musk) antibody CPT 86366 | $108.00 | $180.00 | $16.69 – $19.87 | 10 |
| Mayo mycophenolic acid therapeutic drug level CPT 80180 | $163.80 | $273.00 | $16.37 – $22.66 | 11 |
| Mayo myoglobin CPT 83874 | $74.40 | $124.00 | $11.72 – $17.25 | 11 |
| Mayo nickel CPT 83885 | $175.20 | $292.00 | $12.10 – $25.74 | 11 |
| Mayo organic acid methylmalonic single quantitative CPT 83921 | $108.00 | $180.00 | $19.24 – $22.91 | 11 |
| Mayo organic acids qualitative each specimen CPT 83919 | $229.20 | $382.00 | $14.92 – $20.93 | 11 |
| Mayo oxalate 24 hour urine CPT 83945 | $60.00 | $100.00 | $13.10 – $15.61 | 11 |
| Mayo parvs parvovirus b19 antibody igg CPT 86747 | $75.60 | $126.00 | $13.63 – $23.89 | 11 |
| Mayo paval fluorescent antibody screen agna type 1 CPT 86255 | $102.00 | $170.00 | $10.93 – $18.91 | 11 |
| Mayo pborb infectious agent nucleic acid amplified probe borrelia burgdorferi (lyme) CPT 87476 | $306.00 | $510.00 | $31.82 – $45.74 | 11 |
| Mayo phospholipid neutralization hexagonal lupus anticoagulant CPT 85598 | $295.80 | $493.00 | $16.31 – $23.28 | 11 |
| Mayo pntft phenytoin free therapeutic drug level CPT 80186 | $62.40 | $104.00 | $12.48 – $14.95 | 11 |
| Mayo pqnu porphobilinogen urine quantitative 24 hour urine CPT 84110 | $55.80 | $93.00 | $2.20 – $8.86 | 11 |
| Mayo pregnenolone CPT 84140 | $189.60 | $316.00 | $18.75 – $32.87 | 11 |
| Mayo prmb primidone therapeutic drug level CPT 80188 | $81.00 | $135.00 | $15.05 – $19.55 | 11 |
| Mayo proinsulin CPT 84206 | $165.00 | $275.00 | $8.80 – $28.02 | 11 |
| Mayo psaft prostate specific antigen free CPT 84154 | $129.60 | $216.00 | $16.68 – $23.39 | 11 |
| Mayo radioimmunoassay procollagen i intact n-terminal antibody quantitative CPT 83519 | $108.00 | $180.00 | $16.69 – $19.87 | 10 |
| Mayo rbcme osmotic fragility rbc incubated CPT 85557 | $223.80 | $373.00 | $12.12 – $14.43 | 11 |
| Mayo receptor assay transferrin soluble CPT 84238 | $240.00 | $400.00 | $24.20 – $38.40 | 11 |
| Mayo renin CPT 84244 | $108.00 | $180.00 | $13.20 – $23.09 | 11 |
| Mayo repu protein electrophoresis urine CPT 84166 | $241.20 | $402.00 | $16.17 – $22.93 | 11 |
| Mayo selenium CPT 84255 | $236.40 | $394.00 | $23.15 – $27.57 | 10 |
| Mayo semb semen analysis volume/count/motility/differential strict morphologic criteria CPT 89322 | $91.20 | $152.00 | $14.06 – $16.74 | 10 |
| Mayo serotonin CPT 84260 | $159.60 | $266.00 | $28.10 – $35.65 | 11 |
| Mayo sfgp rickettsia rickettsii antibody igg CPT 86757 | $175.80 | $293.00 | $17.55 – $24.61 | 11 |
| Mayo sirolimus therapeutic drug level CPT 80195 | $102.00 | $170.00 | $12.45 – $17.64 | 11 |
| Mayo streptococcus pneumoniae antibody igg 23 serotypes multiplex immunoassay quantitative CPT 86581 | $97.20 | $162.00 | $40.50 – $137.70 | 11 |
| Mayo syphilis test non-treponemal antibody qualitative vdrl CPT 86592 | $43.80 | $73.00 | $3.87 – $4.61 | 11 |
| Mayo tau phosphorylated 217 each CPT 84393 | $67.20 | $112.00 | $26.50 – $90.10 | 11 |
| Mayo tcgr analysis gene rearrangement trb@ abnormal clonal population(s) amplification CPT 81340 | $859.80 | $1,433.00 | $189.47 – $225.63 | 10 |
| Mayo tgrp testosterone free CPT 84402 | $129.60 | $216.00 | $23.10 – $31.05 | 11 |
| Mayo tgrp testosterone total CPT 84403 | $126.60 | $211.00 | $23.41 – $31.05 | 11 |
| Mayo thyroglobulin CPT 84432 | $108.60 | $181.00 | $14.56 – $25.02 | 11 |
| Mayo ticks anaplasma phagocytophilum antibody igg CPT 86666 | $62.40 | $104.00 | $9.23 – $12.94 | 11 |
| Mayo ticks babesia microti antibody igg CPT 86753 | $118.20 | $197.00 | $11.24 – $13.38 | 10 |
| Mayo tulab francisella tularensis antibody igg CPT 86668 | $96.60 | $161.00 | $12.84 – $16.54 | 11 |
| Mayo valpg valproic acid free therapeutic drug level CPT 80165 | $96.00 | $160.00 | $12.28 – $16.96 | 11 |
| Mayo vasoactive intestinal peptide CPT 84586 | $325.20 | $542.00 | $32.04 – $56.15 | 11 |
| Mayo vitamin b-2 (riboflavin) CPT 84252 | $187.20 | $312.00 | $8.80 – $21.25 | 11 |
| Mayo vitamin b3 (niacin) CPT 84591 | $115.80 | $193.00 | $15.47 – $18.42 | 10 |
| Mayo vitamin k CPT 84597 | $126.60 | $211.00 | $12.44 – $14.82 | 10 |
| Mayo zonisamide therapeutic drug level CPT 80203 | $141.00 | $235.00 | $12.02 – $16.64 | 11 |
A missing value means the hospital did not publish that price — it never means the price is zero. Real bills can add facility fees, supplies and professional fees; see our methodology.